Individual provider Active NPI

Kylie Rose Trimm, BA, SLPA

  • Speech-Language Assistant
  • Santee, CA
National Provider Identifier
1215426606
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
3319 Issued in CA
Practice address
8840 N Magnolia Ave Ste 220
Santee, CA 92071-4516
Phone
(619) 749-7059
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X 3319 CA Primary

Addresses

Primary practice location

8840 N Magnolia Ave Ste 220
Santee, CA 92071-4516

Mailing address

9843 Shadow Rd
La Mesa, CA 91941-4154
Phone (619) 797-7886

Other practice location 1

9843 Shadow Rd
LA Mesa, CA 91941-4154
Phone (619) 797-7886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
3319CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Dodds and Associates, Inc Past Accepting new patients
Kara Dodds and Associates, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1215426606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9843 SHADOW RD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414154",
            "telephone_number": "619-797-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 N MAGNOLIA AVE STE 220",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714516",
            "telephone_number": "619-749-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9843 Shadow Rd",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919414154",
            "country_code": "US",
            "telephone_number": "619-797-7886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIMM",
        "first_name": "KYLIE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "BA, SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.